<HTML>
<HEAD>
  <TITLE>[[title]]</TITLE>
[[js]]
</HEAD>
<BODY>
<P>
<FORM METHOD="POST" ACTION="[[self]]">
[[lang_username]] <INPUT TYPE="TEXT" NAME="acct_username" SIZE=40><BR>
[[lang_password]] <INPUT TYPE="PASSWORD" NAME="password1" SIZE=40><BR>
[[lang_confpass]] <INPUT TYPE="PASSWORD" NAME="password2" SIZE=40><BR>
[[lang_email]] <INPUT TYPE="TEXT" NAME="acct_email" SIZE=40><BR>
<INPUT TYPE="Submit" NAME="Submit" VALUE="[[lang_submit]]">
</FORM>
</P>
<P>
  <CENTER>[[menu]]</CENTER>
</P>
<P>
  <CENTER>[[footer]]</CENTER>
</P>
</BODY>
</HTML>
